Podiatry & Ankle Center of Excellence, LLC
NPI 1063145894ActiveOrganization· Podiatrist· Somerset, NJ
Podiatrist in Somerset, New Jersey, registered in NPPES in July 2022. The authorized official on file is Marni Broder, D.P.M., Podiatrist. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1063145894 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 8, 2022 |
| Last updated in NPPES | Oct 27, 2022 |
| Certified by provider | Oct 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (NJ); Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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